Individual
ELIZABETH KATHLEEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
117 S LEXINGTON ST, HARRISONVILLE, MO 64701-2444
(417) 413-3826
Mailing address
2118 N 25TH ST, OZARK, MO 65721-9689
(417) 413-3826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022034539
MO
101YP2500X
Professional Counselor
2022034539
MO
Other
Enumeration date
10/07/2022
Last updated
04/13/2026
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